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The Weismann-Netter, Stuhl syndrome: A rare pediatric skeletal dysplasia

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Abstract

A 5-year-old girl presented with lower limb deformities, delayed ambulation, short stature, facial dysmorphism and scoliosis. Radiologic examination showed severe anterior and external bowing of the femurs and anterior and internal bowing of the tibia and fibula, with posterior and medial cortical thickening. Square iliac wings, horizontal sacrum and low-set L5 were also seen. The diagnosis of Weismann-Netter, Stuhl syndrome was established with the exclusion of abnormalities in mineral and vitamin D metabolism. This rare skeletal dysplasia should be included in the radiologic differential diagnosis of congenital deformities of the lower extremities.

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References

  1. Weismann-Netter R, Stuhl L (1954) D'une ostéopathie congénitale éventuellement familiale. Presse Méd 62: 1618–1622

    Google Scholar 

  2. Coste F, Bader JP (1955) A propos des déformations dites “rachitiques” de l'adulte. Rev Rhum 22: 842–845

    PubMed  Google Scholar 

  3. Weismann-Netter R, Rouaux Y (1956) Toxopachyostéose diaphysaire tibio-péronière chez deux soeurs. Presse Méd 64: 799–800

    Google Scholar 

  4. Breuzard J, Tixier P, Sallet J (1960) A propos des incurvations non rachitiques des membres inferieurs. Deux, nouveaux cas de toxopachyosteose diaphysaire tibio-péronière observés chez l'adulte. Bull Soc Méd Hôp Paris 76: 165–170

    Google Scholar 

  5. Larcan A, Cayotte JL, Gaucher A, Bertheau JM (1963) La toxopachyostéose de Weismann-Netter (à propos d'une nouvelle observation). Ann Méd (Nancy) 2: 1724–1732

    Google Scholar 

  6. Krewer B (1961) Dysmorphie jambière de Weismann-Netter chez deux vrais jumeaux. Presse Méd 69: 419–420

    Google Scholar 

  7. Ravaille G, Ravaille-Mauer ML (1966) Un cas de toxopachyostéose diaphysaire tibio-péronière unilatérale à manifestation néonatale. Arch Fr Pédiatr 23: 978–979

    Google Scholar 

  8. Manciaux M, Sapelier J, Daler S (1966) A propos de deux cas de toxopachyostéose. Arch Fr Pédiatr 23: 979–980

    Google Scholar 

  9. Heully F, Gaucher P, Laurent J, Vautrin D (1967) Une curieuse association: maladie de Weismann-Netter, maladie de Biermer, goitre congénital. Presse Méd 75: 1577–1578

    Google Scholar 

  10. Charto-Garofalidis G, Matsoukas J, Rigopoulos CH (1969) Toxopachyostéose diaphysaire tibio-péronière chez un enfant de 7 ans. Presse Méd 76: 2434

    Google Scholar 

  11. Neimann N, Marchal C, Andre M (1970) Toxopachyostéose diaphysaire tibio-péronière familiale chez un nouveau-né. Ann Méd (Nancy) 9: 113–116

    Google Scholar 

  12. Keats TE, Alavie MS (1970) Toxopachyostéose diaphysaire tibio-péronière. AJR 109: 568–574

    Google Scholar 

  13. Alavi SM, Keats TE (1973) Toxopachyostéose diaphysaire tibio-péronière. AJR 118: 314–317

    Google Scholar 

  14. Azimi F, Bryan PJ (1974) Weismann-Netter-Stuhl syndrome. Br J Radiol 47: 618–620

    PubMed  Google Scholar 

  15. Hiller HG (1976) Welsmann-Netter syndrome. Australas Radiol 20: 174–175

    PubMed  Google Scholar 

  16. Morgan CL, Gehweiler J, Osborne R (1977) Toxopachyostéose diaphysaire tibio-péronière: two case reports. Rev Interam Radiol 2: 49–52

    PubMed  Google Scholar 

  17. Babeau P, Tire J, Pras P, Serres J (1977) Aspects radiocliniques de la toxopachyostéose diaphysaire tibio-péronière ou maladie de Weismann-Netter et Stuhl. A propos de deux nouvelles observations. J Radiol Electrol Méd Nucl 58: 605–608

    Google Scholar 

  18. Gutierrez-Macias A, Rodriguez-Penalver M, Carrion-Ojanguren M, Rodriguez-Lopes F (1979) Toxopaquiosteosis diafisaria tibioperonea. Sindrome de Weismann-Netter. Primer caso descrito en España. An Esp Pediatr 12: 801–806

    PubMed  Google Scholar 

  19. Quichaud J, Leroux JL, Wattebled R (1979) Toxopachyostéose diaphysaire tibio-péronière. Ses aspects rhumatologiques. A propos de 5 observations. Rhumatologie 31: 43–56

    Google Scholar 

  20. Amendola MA, Brower AC, Tisnado J (1980) Weismann-Netter and Stuhl syndrome: toxopachyostéose diaphysaire tibio-péronière. AJR 135: 1211–1215

    PubMed  Google Scholar 

  21. Leone G (1981) Toxopachiosteosi diafisaria tibio-peroneale. Presentazione di un caso. Radiol Med (Torino) 67: 463–466

    Google Scholar 

  22. Pieron R, Mafart Y, Rybojad M, Noblinsky B, Dreyfus F (1982) Toxopachyostéose diaphysaire tibio-péronière. Sem Hôp Paris 58: 1043–1045

    Google Scholar 

  23. Sidot C, Volle L, Cance P (1985) Toxophachyostéose de Weismann-Netter et Stuhl. A propose de 2 observations. Rhumatologie 116: 23–24

    Google Scholar 

  24. Roca M, De-Gregorio MA, Toubiana P (1987) Le syndrome de Weismann-Netter et Stuhl. A propos de deux nouveaux cas. Ann Radiol (Paris) 30: 401–403

    Google Scholar 

  25. Robinow M, Johnson GF (1988) The Weismann-Netter syndrome. Am J Med Genet 29: 573–579

    Article  PubMed  Google Scholar 

  26. Zakarian H, Ceccaldi M, Acquaviva PC, Sarrat P, Maestracci D (1989) Maladie de Weismann-Netter et Stuhl. Revue de la litterature. A propos d'un cas avec signes radiologiques inhabituels. J Radiol 70: 133–137

    PubMed  Google Scholar 

  27. Durocher AM, Thevenon A Dumolin E, Dewailly P (1990) Toxopachyostéose de Weismann-Netter et Stuhl évolutive à l'âge adulte. Rev Rhum Mal Osteoartic 57: 229–231

    PubMed  Google Scholar 

  28. Francis GL, Jelinek JJ, McHale K, Adamson M, Levin S (1991) The Weismann-Netter syndrome. A cause of bowed legs in childhood. Pediatrics 88: 334–337

    PubMed  Google Scholar 

  29. Houvenagel HS, Vincent G (1992) Une observation de toxopachyostéose de Weismann-Netter et Stuhl avec localisations osseuses nouvelles. Rev Rhum Mal Osteoartic 59: 73–75

    PubMed  Google Scholar 

  30. Lechevalier D, Magnin J, Brithmer L, Labbe T, Dechelostte J, Eulry F (1992) Toxopachyostéose avec dysmorphie claviculaire bilatérale. Rev Rhum Mal Osteoartic 59: 358–359

    PubMed  Google Scholar 

  31. Hary S, Houvenagel E, Vincent G, Renier JC (1992) La toxopachyostéose de Weismann-Netter et Stuhl. A propos de 30 observations. Rev Rhum Mal Osteoartic 59: 65–71

    PubMed  Google Scholar 

  32. Maroteaux P (1982) Les maladies osseuses de l'enfant. Flammarion, Paris, p 232

    Google Scholar 

  33. Epitalbra-Schnebelen MJ (1970) Les sequelles du rachitisme carentiel. Etude clinique et radiologique. Med Thesis, University of Paris

  34. Taybi H, Lachman RS (1990) Radiology of syndromes, metabolic disorders and skeletal dyslasias 3rd edn. Year Book. Chicago, p 488

    Google Scholar 

  35. Silverman FN, Kuhn JP (1993) Caffey's pediatric X-ray diagnosis. 9th edn. Mosby, St. Louis

    Google Scholar 

  36. Reed MH (1992) Pediatric skeletal radiology. Williams and Wilkins, Baltimore

    Google Scholar 

  37. Mandel GA, Harcke HT, Kumar ST (1990) Imaging strategies in pediatric orthopedics. Aspen, Gaithesburg

    Google Scholar 

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Tieder, M., Manor, H., Peshin, J. et al. The Weismann-Netter, Stuhl syndrome: A rare pediatric skeletal dysplasia. Pediatr Radiol 25, 37–40 (1995). https://doi.org/10.1007/BF02020841

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